Psychiatric Mental Health Nursing NCLEX® Review 10th Edition Videbeck Test
Bank & Rationales...
SECTION 1: FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING
(Questions 1-20)
Question 1
The nurse is assessing factors contributing to the well-being of a newly admitted
client. Which factor would the nurse identify as having a positive impact on
mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance
Answer: B
Rationale: Individual factors influencing mental health include biologic makeup,
autonomy, independence, self-esteem, capacity for growth, emotional resilience,
and coping or stress management abilities. Interpersonal factors such as intimacy
and a balance of separateness and connectedness are needed for good mental
,health. A healthy person needs others for companionship. Total self-reliance is
not possible, and a family history of mental illness may have a negative impact .
Question 2
Which statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both
B) Mental illness is only due to social/cultural factors
C) Social/cultural factors related to mental illness include excessive dependency
on or withdrawal from relationships
D) Individuals suffering from mental illness are usually able to cope effectively
with daily life
E) Individuals suffering from mental illness may experience dissatisfaction with
relationships and self
Answer: A, E
Rationale: Mental illness may be related to individual, interpersonal, or
social/cultural factors. Excessive dependency on or withdrawal from relationships
are interpersonal factors that relate to mental illness. Individuals suffering from
mental illness often feel overwhelmed with daily life. Mental illness can cause
,significant distress and impaired functioning. Mental illness includes general
dissatisfaction with self and ineffective relationships .
Question 3
The client grieving the recent loss of a spouse asks if they are "becoming mentally
ill" because of sadness. What is the nurse's best response?
A) "You may have a temporary mental illness because you are experiencing so
much pain."
B) "You are not mentally ill. This is an expected reaction to the loss you have
experienced."
C) "Were you generally dissatisfied with your relationship before your spouse's
death?"
D) "Try not to worry about that right now. You never know what the future
brings."
Answer: B
Rationale: Mental illness includes general dissatisfaction with self, ineffective
relationships, ineffective coping, and lack of personal growth. Additionally, the
behavior must not be culturally expected. Acute grief reactions are expected and
, therefore not considered mental illness. False reassurance or overanalysis does
not accurately address the client's concerns .
Question 4
The nurse consults the DSM for which purpose?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment
Answer: C
Rationale: The DSM provides standard nomenclature, presents defining
characteristics, and identifies underlying causes of mental disorders. It does not
provide care plans or predict prognosis. The primary nursing use includes
documenting appropriate diagnostic codes in the medical record .
Question 5
Bank & Rationales...
SECTION 1: FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING
(Questions 1-20)
Question 1
The nurse is assessing factors contributing to the well-being of a newly admitted
client. Which factor would the nurse identify as having a positive impact on
mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance
Answer: B
Rationale: Individual factors influencing mental health include biologic makeup,
autonomy, independence, self-esteem, capacity for growth, emotional resilience,
and coping or stress management abilities. Interpersonal factors such as intimacy
and a balance of separateness and connectedness are needed for good mental
,health. A healthy person needs others for companionship. Total self-reliance is
not possible, and a family history of mental illness may have a negative impact .
Question 2
Which statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both
B) Mental illness is only due to social/cultural factors
C) Social/cultural factors related to mental illness include excessive dependency
on or withdrawal from relationships
D) Individuals suffering from mental illness are usually able to cope effectively
with daily life
E) Individuals suffering from mental illness may experience dissatisfaction with
relationships and self
Answer: A, E
Rationale: Mental illness may be related to individual, interpersonal, or
social/cultural factors. Excessive dependency on or withdrawal from relationships
are interpersonal factors that relate to mental illness. Individuals suffering from
mental illness often feel overwhelmed with daily life. Mental illness can cause
,significant distress and impaired functioning. Mental illness includes general
dissatisfaction with self and ineffective relationships .
Question 3
The client grieving the recent loss of a spouse asks if they are "becoming mentally
ill" because of sadness. What is the nurse's best response?
A) "You may have a temporary mental illness because you are experiencing so
much pain."
B) "You are not mentally ill. This is an expected reaction to the loss you have
experienced."
C) "Were you generally dissatisfied with your relationship before your spouse's
death?"
D) "Try not to worry about that right now. You never know what the future
brings."
Answer: B
Rationale: Mental illness includes general dissatisfaction with self, ineffective
relationships, ineffective coping, and lack of personal growth. Additionally, the
behavior must not be culturally expected. Acute grief reactions are expected and
, therefore not considered mental illness. False reassurance or overanalysis does
not accurately address the client's concerns .
Question 4
The nurse consults the DSM for which purpose?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment
Answer: C
Rationale: The DSM provides standard nomenclature, presents defining
characteristics, and identifies underlying causes of mental disorders. It does not
provide care plans or predict prognosis. The primary nursing use includes
documenting appropriate diagnostic codes in the medical record .
Question 5
